Individual
LADELMA SHEREE WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2350 GOOSE BRANCH DR, ROCKY MOUNT, NC 27804-9158
(252) 469-0703
Mailing address
2350 GOOSE BRANCH DR, ROCKY MOUNT, NC 27804-9158
(252) 469-0703
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
—
—
302R00000X
Health Maintenance Organization
—
—
305R00000X
Preferred Provider Organization
—
—
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
03/03/2014
Last updated
02/12/2026
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